CogniPlus训练对脑损伤后认知功能障碍患者的影响

Effect of CogniPlus training on patients with cognitive dysfunction after brain injury

目的研究CogniPlus训练对脑损伤后认知功能障碍患者智力状态、认知功能及生活独立能力的影响。方法选取郑州大学第一附属医院2020年2月至2022年5月103例脑损伤后认知功能障碍患者采用随机数字表分组,均给予脑损伤后常规康复,对照组51例给予常规认知训练,观察组52例给予CogniPlus训练,对比两组患者认知功能、智力状态和生活独立能力。结果观察组干预后,视空间执行能力、语言、记忆、注意与集中评分分别为(3.64±0.45)分、(2.03±0.32)分、(2.13±0.32)分、(4.78±0.64)分,均高于对照组(2.97±0.50)分、(1.61±0.28)分、(1.58±0.39)分、(3.95±0.81)分(P<0.05);观察组干预后,记忆力、注意力和计算力、定向力、语言能力、回忆能力评分分别为(2.95±0.45)分、(2.40±0.32)分、(8.79±0.92)分、(8.83±0.99)分、(1.25±0.23)分,均高于对照组(2.55±0.42)分、(2.01±0.33)分、(7.83±0.96)分、(7.80±0.90)分、(0.98±0.21)分(P<0.05);观察组干预后,功能独立评定量表(FIM)、独立生活能力Barthel指数(BI)评分分别为(98.64±5.25)分、(75.05±6.32)分,均高于对照组(85.97±5.50)分、(65.42±6.28)分(P<0.05)。结论CogniPlus训练能够有效改善脑损伤后认知功能障碍患者认知功能,提高智力水平,增强患者生活独立能力。

Objective To investigate the effects of CogniPlus training on mental state,cognitive function and independent living ability of patients with cognitive dysfunction after brain injury.Methods A total of 103 patients with cognitive impairment after brain injury treated in the First Affiliated Hospital of Zhengzhou University from February 2020 to May 2022 were recruited and randomly divided into control group(n=51)and observation group(n=52).All patients were given routine rehabilitation after brain injury,and those in the control group and the observation group were additionally managed by routine cognitive training and CogniPlus training,respectively.Cognitive function,mental state and independent living ability were compared between the two groups.Results After intervention,the scores of visual spatial executive ability(3.64±0.45)points VS(2.97±0.50)points,language(2.03±0.32)points VS(1.61±0.28)points,memory(2.13±0.32)points VS(1.58±0.39)points,and attention and concentration(4.78±0.64)points VS(3.95±0.81)points were significantly higher in observation group than those in control group(all P<0.05).After intervention,the scores of memory(2.95±0.45)points VS(2.55±0.42)points,attention and numeracy(2.40±0.32)points VS(2.01±0.33)points,orientation(8.79±0.92)points VS(7.83±0.96)points,language ability(8.83±0.99)points VS(7.80±0.90)points,recall ability(1.25±0.23)points VS(0.98±0.21)points in the observation group were significantly higher than those in the control group(all P<0.05).After intervention,the scores of Functional Independence Measure(FIM)scale(98.64±5.25)points VS(85.97±5.50)points,and the scores of Barthel Index(BI)of independent living ability(75.05±6.32)points VS(65.42±6.28)points in the observation group were significantly higher than those in the control group(both P<0.05).Conclusion CogniPlus training can effectively improve cognitive function,intelligence level and independent living ability of patients with cognitive dysfunction after brain injury.